Hiring For Claim Adjudication-Experienced

NTT DATA, Inc.

1 - 4 years

1 - 3 Lacs

chennai coimbatore

Posted:-1 days ago| Platform:

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Skills Required

claims claims adjudication

Work Mode

Work from Office

Job Type

Full Time

Job Description

Positions General Duties and Tasks:

Process Insurance Claims timely and qualitatively
Meet & Exceed Production, Productivity and Quality goals
Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities
Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing
Be a team player and work seamlessly with other team members on meeting customer goals
**Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client band connection is must while working from home.

Preferences for this role include:

3+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT.
2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.

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